Healthcare Data Analyst Lead, Risk Adjustment

22 hours ago


New York, New York, United States CVS Health Full time
Company Overview:

At CVS Health, our purpose is to bring our heart to every moment of your health. We are committed to delivering enhanced human-centric healthcare for a rapidly changing world.


Job Description:

We are seeking an experienced Healthcare Data Analyst Lead, Risk Adjustment to join our team. As a key member of our Revenue Integrity organization, you will be responsible for leading risk adjustment technical activities, including electronic medical record data extraction, reconciliation, and aggregation, as well as financial and operational reporting.


In this role, you will provide guidance and direction to external vendors, consultants, team members, and matrixed staff to support ACA IFP Risk Adjustment Revenue Integrity initiatives. You will lead the reconciliation of data from different sources, identify gaps within the process, and develop more efficiency within the process.


Required Skills and Qualifications:
  • Experience with IT application development lifecycles and methodologies
  • Experience with SAS/SAS EG/Python/SQL server in data analytics and manipulation
  • Experience with BI tools, including Tableau, Quicksight, PowerBI
  • Vendor management experience
  • Experience with CMS Risk Adjustment programs
  • 5+ years of healthcare, health insurance, or relevant combination of experience
  • 5+ years of experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, strategic business planning, and/or risk management consulting

Benefits:

CVS Health offers a comprehensive range of benefits to support your physical, emotional, and financial well-being. These include medical, dental, and vision benefits, 401(k) retirement savings plan, employee stock purchase plan, fully-paid term life insurance, short-term and long-term disability benefits, paid time off (PTO), and paid holidays throughout the calendar year.


Estimated Salary Range:

The estimated salary range for this role is $63,300.00 - $139,200.00 per annum, based on location and level of experience.


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